Tramadol / Acetaminophen Coupon - Tramadol / Acetaminophen 37.5mg/325mg tablet
FDA Update

Generic Ultracet

Tramadol/acetaminophen (Ultracet) is a moderately priced drug used to treat short-term moderate pain. This drug is less popular than comparable drugs. It is available in brand and generic versions. Generic tramadol/acetaminophen is covered by most Medicare and insurance plans, but pharmacy coupons or cash prices may be lower. Compare opioid / acetaminophen combinations.
Tramadol / Acetaminophen Coupon - Tramadol / Acetaminophen 37.5mg/325mg tablet

Tramadol / Acetaminophen Side Effects

What should I watch for?

Tell your doctor or health care professional if your pain does not go away, if it gets worse, or if you have new or a different type of pain. You may develop tolerance to the medicine. Tolerance means that you will need a higher dose of the medicine for pain relief. Tolerance is normal and is expected if you take the medicine for a long time.

Do not suddenly stop taking your medicine because you may develop a severe reaction. Your body becomes used to the medicine. This does NOT mean you are addicted. Addiction is a behavior related to getting and using a drug for a non-medical reason. If you have pain, you have a medical reason to take pain medicine. Your doctor will tell you how much medicine to take. If your doctor wants you to stop the medicine, the dose will be slowly lowered over time to avoid any side effects.

There are different types of narcotic medicines (opiates). If you take more than one type at the same time or if you are taking another medicine that also causes drowsiness, you may have more side effects. Give your health care provider a list of all medicines you use. Your doctor will tell you how much medicine to take. Do not take more medicine than directed. Call emergency for help if you have problems breathing or unusual sleepiness.

Do not take other medicines that contain acetaminophen with this medicine. Always read labels carefully. If you have questions, ask your doctor or pharmacist.

If you take too much acetaminophen get medical help right away. Too much acetaminophen can be very dangerous and cause liver damage. Even if you do not have symptoms, it is important to get help right away.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.

This medicine will cause constipation. Try to have a bowel movement at least every 2 to 3 days. If you do not have a bowel movement for 3 days, call your doctor or health care professional.

Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help. Contact your doctor if the problem does not go away or is severe.


Interactions with Medications

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:


Burning, itching, and redness of the skin

chest pain


difficulty with swallowing


fast heartbeat

puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue


shortness of breath

skin rash, hives, or itching skin

tightness in the chest

unusual tiredness or weakness



Incidence not known

Blistering, peeling, or loosening of the skin



joint or muscle pain

large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs

noisy breathing

red skin lesions, often with a purple center

red, irritated eyes

sore throat

sores, ulcers, or white spots in the mouth or on the lips

Get emergency help immediately if any of the following symptoms of overdose occur:

Symptoms of overdose

Abdominal or stomach pain

black, tarry stools

chest pain or discomfort

dark urine

difficulty with sleeping


drowsiness to profound coma



irregular, fast or slow, or shallow breathing


light-colored stools


loss of appetite

mood or other mental changes


pale or blue lips, fingernails, or skin

seeing, hearing, or feeling things that are not there

unpleasant breath odor

vomiting of blood

yellow eyes or skin

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Less common

Acid or sour stomach



bloated or full feeling


dry mouth

excess air or gas in the stomach or intestines

false or unusual sense of well-being

feeling of warmth


increase in bowel movements

increased sweating


loose stools

loss of strength or energy

muscle pain or weakness

numbness or tingling of the hands, legs, and feet

painful or difficult urination

redness of the face, neck, arms, and occasionally the upper chest

sleepiness or unusual drowsiness

soft stools

stomach discomfort

weight loss


Abnormal thinking

blurred vision

change in vision

clumsiness, unsteadiness, trembling, or problems with muscle control or coordination

cold sweats

continuing ringing, buzzing, or unexplained noise in the ears


decrease in the frequency or amount of urination

decreased awareness or responsiveness

decreased interest in sexual intercourse


difficulty in passing urine (dribbling)

dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position




fast, pounding, or irregular heartbeat or pulse

feeling of constant movement of self or surroundings

feeling unusually cold

headache, severe or continuing

increased muscle tone

involuntary muscle contractions

loss of memory

loss of sense of reality

loss of sexual ability, desire, drive, or performance

migraine headache

morbid dreaming


pounding in the ears

problems with memory

quick to react or overreact emotionally

rapidly changing moods

sensation of spinning

severe stomach pain

shakiness and unsteady walk


swelling of the tongue

vomiting of blood or material that looks like coffee grounds

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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